Clinical Devices Flashcards
Electronic beds include:
Circo- electric beds
Low air loss beds
air - fluidized beds
smart beds
Beds that rotate so that patients who cannot be moved can be placed in different positions to relieve pressure, facilitate interactions, and promote circulation.
Circo - electric beds
Allow air that is pumped in the support surface to leak, so there is a continuous flow of air through the air pillows in the device.
Low air loss beds
Special bed systems that have a high flow of air through silicon beads, originally designed for treatment of burn patients.
Air - fluidized - high air loss - beds
May include motion alarms and motion-activated night lights and may provide verbal warnings, such as “Please, do not get out of bed” and “Your call light is not connected.”
smart beds
include infusion pumps for large volumes and syringes as well as for patient-controlled analgesia.
Smart pumps
uses wireless mobile units at the point of care to scan the barcode on each unit of medication or blood component before it is dispensed.
Barcode medication administration (BCMA)
such as physiological monitors (heart rate, blood pressure) and smart pumps, must interface between the patient and the device and then in digital form from the device to the information system, which must aggregate the data, which are then sent to an interface that converts the data to HL7 for transmission to the electronic health record.
Biomedical devices
Medical smart devices include:
Sleep / vital statistics monitors
Smart watches
smart heart monitors
fitness trackers
A disk is placed under the patient’s mattress to detect sleeping patterns, heartrate, respiratory rate, and movements.
Sleep/ vitals statistics monitors
These devices connect to smart phones, and applications may be used to detect seizures; monitor daily activity and exercise; monitor cardiac status, heart rate and rhythm; monitor tremors; monitor diabetes status and need for insulin; monitor medications (including alarms to note time to take medications); monitor eating behaviors; and monitor emotional status.
Smart watches
Some, such as Duo®, include a digital stethoscope and portable ECG to continuously monitor a patient’s cardiac status.
Smart heart monitors
Watch-like device allows users to track activities, such as the number of daily steps, and some include heartrate monitoring.
Fitness trackers
are intended for the end user and comprise interactive software applications that provide information to physicians or other health care providers to help with health care decisions.
Clinical decision support systems (CDSSs)
an important component of CDSs and may be used for cost-effectiveness, safety, and preventive health.
Alerts
Types of alerts may include the following:
Warnings
reminders
notifications
Activation
systems greatly reduce paperwork and decrease errors.
Computerized provider order entry (CPOE)
The benefits of CPOE
Patient centered
intuitive
secure
portable
billing easier and more accurate
is a clinical software application that automates medication/treatment ordering, requiring that orders be typed in a standard format to avoid mistakes in ordering or interpreting orders. CPOE is promoted by Leapfrog as a means to reduce medication errors.
CPOE
There are four types of computer networks:
Local area networks
Metropolitan area networks
wide area networks
internet